Research Topics
| D C GrabowskiSummaryAffiliation: University of Alabama at Birmingham Country: USA Publications
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Detail Information
Publications
Prospects for transferring nursing home residents to the communityVincent Mor
Brown University Medical School in Providence, Rhode Island, USA
Health Aff (Millwood) 26:1762-71. 2007..States with lower investment in community alternatives had higher proportions of low-care nursing home residents...- Does an increase in the Medicaid reimbursement rate improve nursing home quality?D C Grabowski
Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, USA
J Gerontol B Psychol Sci Soc Sci 56:S84-93. 2001..This study evaluated how the Medicaid reimbursement rate may influence a home's decision to provide quality under CON and moratoria... - Recent trends in state nursing home payment policiesDavid C Grabowski
Department of Health Care Organization and Policy, University of Alabama at Birmingham, USA
Health Aff (Millwood) . 2004..Although these findings can be interpreted with some optimism from a nursing home financing perspective, areas of concern remain for state nursing home policy during the next several years... - Elderly licensure laws and motor vehicle fatalitiesDavid C Grabowski
Lister Hill Center for Health Policy, School of Public Health, University of Alabama, Birmingham, USA
JAMA 291:2840-6. 2004..Little is known about how state-level driver licensure laws, such as in-person renewal, vision tests, road tests, and the frequency of license renewal relate to the older driver traffic fatality rate... - A longitudinal study of Medicaid payment, private-pay price and nursing home qualityDavid C Grabowski
Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, USA
Int J Health Care Finance Econ 4:5-26. 2004..When compared to the earlier literature, these new findings are attributed to changes over time in the market for nursing home care related to the growth in nursing home substitutes... - The admission of blacks to high-deficiency nursing homesDavid C Grabowski
Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama, USA
Med Care 42:456-64. 2004..Deficiencies are evaluations of poor quality made by state surveyors under the federal nursing home certification regulations... 
The effect of state regulations on motor vehicle fatalities for younger and older drivers: a review and analysisD C Grabowski
Department of Health Care Organization and Policy, University of Alabama at Birmingham, RPHB 330, 1530 3rd Avenue South, Birmingham, AL 35294 0022, USA
Milbank Q 79:517-45, iii-iv. 2001....- Medicaid reimbursement and the quality of nursing home careD C Grabowski
Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, 35294 0022, USA
J Health Econ 20:549-69. 2001..Although this paper does find some evidence of excess demand within the market for nursing home care, this new finding is attributed to a decline in nursing home utilization over the last two decades... - Competitive spillovers across non-profit and for-profit nursing homesDavid C Grabowski
Department of Health Care Organization and Policy, University of Alabama at Birmingham, 330 RPHB 1655 University Boulevard, Birmingham, AL 35294, USA
J Health Econ 22:1-22. 2003..These findings are consistent with the hypothesis that non-profits serve as a quality signal for uninformed nursing home consumers... - The market for long-term care servicesDavid C Grabowski
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115 5899, USA
Inquiry 45:58-74. 2008.... - The effect of state medicaid case-mix payment on nursing home resident acuityZhanlian Feng
Center for Gerontology and Health Care Research, Brown University, 2 Stimson Avenue, Providence, RI 02912, USA
Health Serv Res 41:1317-36. 2006..3 to 1.4 percent increase in the acuity of long-stay residents, following the introduction of case-mix payment. CONCLUSIONS: The adoption of case-mix payment increased access to care for higher acuity Medicaid residents... - Systemwide implications of the repeal of the national maximum speed limitDavid C Grabowski
Department of Health Care Policy, Harvard University, 180 Longwood Avenue, Boston, MA 02115, USA
Accid Anal Prev 39:180-9. 2007..However, we found very little support for any decrease in rural noninterstate driving or fatalities following the adoption of higher speed limits on rural interstates... - Ownership conversions and nursing home performanceDavid C Grabowski
Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115 5899, USA
Health Serv Res 43:1184-203. 2008..To examine the effects of ownership conversions on nursing home performance... - Medicaid nursing home payment and the role of provider taxesDavid C Grabowski
Harvard Medical School
Med Care Res Rev 65:514-27. 2008..A recent proposal to cap provider taxes, if enacted, may lead to a decrease in Medicaid payment rates for nursing home care... - Graduated drivers license programs and rural teenage motor vehicle fatalitiesMichael A Morrisey
Department of Health Care Organization and Policy, Lister Hill Center for Health Policy, University of Alabama at Birmingham, Birmingham, AL 35294 0022, USA
J Rural Health 22:300-7. 2006..Graduated drivers license (GDL) programs have been shown to reduce motor vehicle fatalities among 15- to 17-year-olds. However, the 20 most rural states have been the least likely to enact more stringent GDL policies... - Moral hazard in nursing home useDavid C Grabowski
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115 5899, USA
J Health Econ 26:560-77. 2007..From a policy perspective, this finding indicates that changes in overall Medicaid generosity will not have large effects on utilization... - The strength of graduated drivers license programs and fatalities among teen drivers and passengersMichael A Morrisey
Department of Health Care Organization and Policy, Lister Hill Center for Health Policy, Injury Control Research Center, University of Alabama at Birmingham, Birmingham, AL, USA
Accid Anal Prev 38:135-41. 2006.... - Graduated driver licensing and teen traffic fatalitiesThomas S Dee
Department of Economics, Swarthmore College, PA 19081, USA
J Health Econ 24:571-89. 2005..And we find no evidence that these benefits were attenuated by an increase in fatality risks during the full-licensure period available to older teens... - The relationship of Medicaid payment rates, bed constraint policies, and risk-adjusted pressure ulcersDavid C Grabowski
Department of Health Care Organization and Policy, University of Alabama at Birmingham, 35294, USA
Health Serv Res 39:793-812. 2004..To examine the effect of Medicaid reimbursement rates on nursing home quality in the presence of certificate-of-need (CON) and construction moratorium laws... - State motor vehicle laws and older driversMichael A Morrisey
Department of Health Care Organization and Policy, University of Alabama at Birmingham, 35294 0022, USA
Health Econ 14:407-19. 2005.... - The economic implications of case-mix Medicaid reimbursement for nursing home careDavid C Grabowski
Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, 35294 0022, USA
Inquiry 39:258-78. 2002.... - The effects of CON repeal on Medicaid nursing home and long-term care expendituresDavid C Grabowski
Department of Health Care Organization and Policy, Lister Hill Center for Health Policy, University of Alabama at Birmingham, 35294 0022, USA
Inquiry 40:146-57. 2003..In the context of declining occupancy rates within the nursing home market, this study provides strong evidence that states have little to fear in terms of increased expenditures with the repeal of CON and moratorium laws... - Medicaid payment and risk-adjusted nursing home quality measuresDavid C Grabowski
Department of Health Care Policy, Harvard University, USA
Health Aff (Millwood) 23:243-52. 2004..Higher payment was associated with lower incidence of pressure ulcers and physical restraints but not daily pain. Quality of nursing home care may suffer if budget shortfalls force state legislatures to freeze or reduce Medicaid rates... - Nursing homes with persistent high and low qualityDavid C Grabowski
University of Alabama at Birmingham, Alabama, USA
Med Care Res Rev 61:89-115. 2004..Their results further show that public reimbursement and asymmetric information are both important factors in explaining why low quality persists over time in certain facilities... - Medicare and Medicaid: conflicting incentives for long-term careDavid C Grabowski
Harvard Medical School, Boston, MA, USA
Milbank Q 85:579-610. 2007..With the aging baby boom generation and projected federal and state budget shortfalls, this issue will be a continuing focus of policymakers in the coming decades... - Medicaid payment rates, case-mix reimbursement, and nursing home staffing--1996-2004Zhanlian Feng
Center for Gerontology and Health Care Research, Brown University, Providence, Rhode Island 02912, USA
Med Care 46:33-40. 2008..We examined the impact of state Medicaid payment rates and case-mix reimbursement on direct care staffing levels in US nursing homes... 
Predictors of nursing home hospitalization: a review of the literatureDavid C Grabowski
Harvard Medical School, USA
Med Care Res Rev 65:3-39. 2008..Nevertheless, the existing literature asserts that nursing home hospitalizations are frequent, often preventable, and related to facility practices and state Medicaid policies...- Consumer complaints and nursing home qualityDavid C Grabowski
Med Care 43:99-101. 2005 - Differences in hospice care between home and institutional settingsDavid G Stevenson
Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts 02115, USA
J Palliat Med 10:1040-7. 2007..To compare hospice care delivered at home with hospice care delivered in institutional settings, such as the nursing home... - The costs and potential savings associated with nursing home hospitalizationsDavid C Grabowski
Health Care Policy, Harvard Medical School in Boston, Massachusetts, USA
Health Aff (Millwood) 26:1753-61. 2007..These data highlight the potential for cost savings associated with programs designed to reduce these potentially avoidable hospitalizations from the nursing home setting... - Hospitalization of nursing home residents: the effects of states' Medicaid payment and bed-hold policiesOrna Intrator
Brown University, Box G ST2, Providence, RI 02912, USA
Health Serv Res 42:1651-71. 2007..Economic constraints imposed by payers of care, predominantly Medicaid policies, are hypothesized to impact hospitalizations... - Eye care in the United States: do we deliver to high-risk people who can benefit most from it?Xinzhi Zhang
National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Hwy NE K 10, Atlanta, GA 30341 3727, USA
Arch Ophthalmol 125:411-8. 2007..To estimate the levels of self-reported access of eye care services in the nation... - Nursing home staffing and quality under the nursing home reform actXinzhi Zhang
Department of Health Services Administration, University of Alabama at Birmingham, Birmingham, AL, USA
Gerontologist 44:13-23. 2004..IMPLICATIONS: Following the NHRA, quality improvements were found in nursing homes nationwide, and these results suggest that part of this improvement was due to the quality and staffing regulations within the NHRA... - Effect of educational level and minority status on nursing home choice after hospital dischargeJoseph Angelelli
The Pennsylvania State University, University Park, PA 1680 2500, USA
Am J Public Health 96:1249-53. 2006..We examine the validity of this assumption by testing whether minority/less educated Medicare patients are at greater risk of being discharged from a hospital to the lowest-quality nursing homes in a geographic area... - Factor substitution in nursing homesJohn Cawley
Department of Policy Analysis and Management, College of Human Ecology, Cornell University, Ithaca, NY 14853 4401, USA
J Health Econ 25:234-47. 2006..The results from the IV models yield evidence of factor substitution: higher nursing home wages are associated with greater use of psychoactive drugs and lower quality... - Obesity and mortality in elderly nursing home residentsDavid C Grabowski
Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, Massachusetts 02115, USA
J Gerontol A Biol Sci Med Sci 60:1184-9. 2005..A number of studies have analyzed the relationship of obesity and mortality in community-dwelling elderly persons, but little work has analyzed this issue within the institutionalized elderly population...